csma - membership registration form

1
Application No:
CSMA - MEMBERSHIP REGISTRATION FORM
CBSE Schools Management Association (CSMA)
(A Nationwide forum of CBSE Schools Management)
Regd office : “KMC Gardens”, Kanakkampalayam Main road, Perumanallur(P.O), Tirupur-641 666.
E-mail : [email protected] , Web : www.aicsma.org , Mobile : 98423 61611.
1 Name of the school
:
2 Location and address of the school
:
3
Name of the Trust under which the school is
functioning
:
4 Year of establishment of the school
:
5 Registered office - address of the Trust
:
6 No. of Trustees
7
:
Other group institutions belonging to this Trust.
Along with year of establishment and No. of
students (List shall be enclosed)
:
Name of the school management members
Chairman
Correspondent
8 Secretary
:
Director
Any Others
The largest forum of CBSE Schools’ Management of India
www.aicsma.org
2
Key Contact Person with designation – KCP
(will be confidential)
:
10
Mobile number of the KCP
:
11
E-mail ID for communication
:
12
Web URL
:
13
School campus area (in acres)
:
14
School belongs to which district / state
:
15
Official contact numbers
(To be displayed in the CSMA website)
9
:
Class up to which the school is recognized
/ affiliated with CBSE.
16
:
(Please attach self attested photo copy of documents
and evidence - affiliation order)
17
Total number of students
18
Type of school?
Day / Day cum residential /Residential
:
:
Is your school already member of any other
management association of state?
19
:
If yes, please mention membership details
(Name
of the association, membership number and date)
20
Is your school associated with any Sahodaya?
If yes, please provide details.
:
The largest forum of CBSE Schools’ Management of India
www.aicsma.org
3
Note :
1. Annual membership charges Rs.5000/2. Please enclose a self attested photo, identify proof along with address.
(Issued from state/central govt)
PAYMENT DETAILS :
Cheque / Demand draft No. :
dated:………………….
Drawn on :
Amount in Rs.
Authorized signatory
:
Name
:
Designation
:
Seal
:
Date :
------------------------------------------------Office Use--------------------------------------------------
Documents verified by:
Treasurer
Membership No allocated:
Secretary
President
The largest forum of CBSE Schools’ Management of India
www.aicsma.org